It's an argument that has often been appealing to Europeans but that has always been unappealing to Americans. That's why these advocates segue to other arguments, like Barack Obama's assertion that the government can expand coverage and save money at the same time.

But voters quickly sniff out what this means. The government will use the "science" of comparative effectiveness research to achieve cost savings the only way government can: denial of care. The Soviet medical system kept down the heart disease caseload by placing cardiac care units on the fifth floor, walk up. Death panels, anyone?